REGISTRATION FORM

33rd Annual Scientific Meeting of Singapore Orthopaedic Association

Combined with the 30th Annual Congress of the ASEAN Orthopaedic Association

6 - 8 October 2010 l Grand Copthorne Singapore

I. PARTICIPANT’S DETAILS(The registered name will be printed on the conference name tag)
Name / Professor Dr Mr Mrs Ms
Institution / Dept
Address
Tel / Fax / Email
** Applicable to registered participants only (Please tick (b) on the appropriate box/boxes accordingly)
Opening Ceremony : I will attend the Opening Ceremony on 6 October ‘10 ** (details will be out later)
 Banquet : I will attend the official banquet on 8 October ‘10
II. REGISTRATION FEE(Please [√] the category applicable to your registration)
CATEGORIES / EARLY BIRD REGISTRATION
(Until 31 Aug’ 10 ) / STANDARD/ ON SITE
( 1 Sept’10 Onwards )
SOA / ASEAN Members / S$ 500 / S$ 600
Trainees / SOA Assoc Members / S$ 400 / S$ 500
Non-Members – Local / S$ 600 / S$ 700
Pharmaceutical Rep / S$ 600 / S$ 700
Overseas Participant / S$ 600 / S$ 700
Nurses / Physiotherapists
(banquet not included) / S$ 400 / S$ 500
Instructional Course Lecture (ICL) (Limited to 50 delegates) / S$ 1000
(inclusive of entrance to main meeting) / S$ 1100
(inclusive of entrance to main meeting)
Osteotomy Pre-course Workshop (Limited to 20 delegates) / S$ 1500
(inclusive of entrance to main meeting) / S$ 1600
(inclusive of entrance to main meeting)
Ankle Arthroscopy Workshop (Limited to 12 delegates) / S$ 1000
(inclusive of entrance to main meeting) / S$ 1100
(inclusive of entrance to main meeting)

ICL & Ankle Arthroscopy Workshop

/ S$ 1500
(inclusive of entrance to main meeting) / S$ 1700
(inclusive of entrance to main meeting)
Two Workshops / S$ 1800
(inclusive of entrance to main meeting) / S$ 2000
(inclusive of entrance to main meeting)
  • Registration includes: access to Opening ceremony, all sessions, conference materials, daily coffee breaks, lunch & banquet (except for nurses/Physio)
  • Applicable to trainees from ASEAN countries. An official letter from HOD is required certifying traineeship status as at 1st Aug 2010

III. PAYMENT DETAILS (IN SINGAPORE DOLLARS)
 Bank Draft/Cheque(Only bank draft or cheque drawn on Singapore bank is acceptable)
Payment by bank draft/cheque should be made payable in Singapore Dollars to: “SOA-33rd ASM”
Bank Draft/Cheque No: / Bank Name:

CANCELLATION POLICY

Up to Sept. 10, 201050% refund ** (35% administrative fee applies)
After Sept. 10, 2010NO REFUND
(1) The Policy applies to cancellation for main meeting registration ONLY. There will be NO REFUND for workshops
(2) Approved refunds will be issued 90 days after the meeting.
Telegraphic Transfer
Account Name: “SOA-33rd ASM”
Account No: “005-902263-5”
Name of Beneficiary Bank:“DBS Bank”
Address of Beneficiary Bank: “6 Shenton Way, DBS Building, Singapore 068809”
Country: “Singapore”
SWIFT address: “DBSSSGSG”
** Details to be updated. Please email the secretariat if you choose this option **

HOW TO REGISTER?

Return the form with full payment to the Congress Secretariat. Pre-registration ends on August, 15 2010. Thereafter, registration will be processed on-site only.

All registration and payment must reach the Secretariat by 31 August 2010

Registration received after 31 August 2010 will be charged on-site registration fee

Conference Secretariat, SOA-32nd ASM
c/o Dept of Orthopaedic Surgery
Blk 6 Level 7, Room A56, SingaporeGeneralHospital, Outram Road
Singapore 169608
Tel : 65-9877-7602 Fax: 65-6227-7114
Email:
PLEASE TICK OR TYPE CLEARLY AND USE SEPARATE FORM FOR EACH PARTICIPANT / Processed By
Date